Improving nurse’s knowledge, attitudes, and skills in lactation and breastfeeding management using a blended learning approach: a quasi-experimental study
Abstract Background Breastfeeding is crucial for newborn health; however, India faces unique challenges in promoting breastfeeding. Nurses play a vital role in supporting breastfeeding, and their knowledge, attitudes, and skills are essential. This study aimed to assess the effectiveness of a blende...
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2025-05-01
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| Online Access: | https://doi.org/10.1186/s12909-025-07341-1 |
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| author | Poonam Joshi Ritu Pal Jamuna Rani R Ananya Mukhopadhyay Nihar Rajan Mishra Surya Kant Tiwari A. Malarselvi |
| author_facet | Poonam Joshi Ritu Pal Jamuna Rani R Ananya Mukhopadhyay Nihar Rajan Mishra Surya Kant Tiwari A. Malarselvi |
| author_sort | Poonam Joshi |
| collection | DOAJ |
| description | Abstract Background Breastfeeding is crucial for newborn health; however, India faces unique challenges in promoting breastfeeding. Nurses play a vital role in supporting breastfeeding, and their knowledge, attitudes, and skills are essential. This study aimed to assess the effectiveness of a blended learning approach in improving nurses’ competencies in lactation and breastfeeding management. Methods A quasi-experimental, one-group pre-test and post-test study was conducted with 129 newly appointed nurses at a tertiary care center in India. The intervention was a week-long blended learning program that included self-study materials, interactive sessions, and hands-on practice. Nurses’ knowledge, attitudes, and skills were assessed before, immediately after, and three months post-intervention using structured questionnaires and observation checklists. Results Nurses’ knowledge scores significantly improved immediately post-intervention (24.7 ± 3.8) and were sustained at three months (24.2 ± 3.6) compared to pre-intervention (17.5 ± 4.9) (p < .001). The majority of nurses demonstrated a good attitude post-intervention (63.6%), which further increased at three months (79.1%). Skill scores related to positioning and attachment, management of breast problems, manual expression of milk, paladai feeding, and orogastric tube feeding significantly improved post-intervention and were maintained at three months after the intervention. Conclusions The blended learning approach effectively improved nurses’ knowledge, attitudes, and skills in lactation and breastfeeding management, with sustained competencies at three months post intervention. Implementing regular training programs and incorporating lactation education into nursing curricula can enhance nurses’ capacity to support optimal breastfeeding. Future studies should explore the impact of these interventions on patient outcomes. |
| format | Article |
| id | doaj-art-da58da42e8de479c85b1517b28441eff |
| institution | DOAJ |
| issn | 1472-6920 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Medical Education |
| spelling | doaj-art-da58da42e8de479c85b1517b28441eff2025-08-20T03:08:25ZengBMCBMC Medical Education1472-69202025-05-012511810.1186/s12909-025-07341-1Improving nurse’s knowledge, attitudes, and skills in lactation and breastfeeding management using a blended learning approach: a quasi-experimental studyPoonam Joshi0Ritu Pal1Jamuna Rani R2Ananya Mukhopadhyay3Nihar Rajan Mishra4Surya Kant Tiwari5A. Malarselvi6College of Nursing, All India Institute of Medical SciencesAll India Institute of Medical SciencesCollege of Nursing, All India Institute of Medical SciencesAll India Institute of Medical SciencesAll India Institute of Medical SciencesCollege of Nursing, All India Institute of Medical SciencesHoly Family College of NursingAbstract Background Breastfeeding is crucial for newborn health; however, India faces unique challenges in promoting breastfeeding. Nurses play a vital role in supporting breastfeeding, and their knowledge, attitudes, and skills are essential. This study aimed to assess the effectiveness of a blended learning approach in improving nurses’ competencies in lactation and breastfeeding management. Methods A quasi-experimental, one-group pre-test and post-test study was conducted with 129 newly appointed nurses at a tertiary care center in India. The intervention was a week-long blended learning program that included self-study materials, interactive sessions, and hands-on practice. Nurses’ knowledge, attitudes, and skills were assessed before, immediately after, and three months post-intervention using structured questionnaires and observation checklists. Results Nurses’ knowledge scores significantly improved immediately post-intervention (24.7 ± 3.8) and were sustained at three months (24.2 ± 3.6) compared to pre-intervention (17.5 ± 4.9) (p < .001). The majority of nurses demonstrated a good attitude post-intervention (63.6%), which further increased at three months (79.1%). Skill scores related to positioning and attachment, management of breast problems, manual expression of milk, paladai feeding, and orogastric tube feeding significantly improved post-intervention and were maintained at three months after the intervention. Conclusions The blended learning approach effectively improved nurses’ knowledge, attitudes, and skills in lactation and breastfeeding management, with sustained competencies at three months post intervention. Implementing regular training programs and incorporating lactation education into nursing curricula can enhance nurses’ capacity to support optimal breastfeeding. Future studies should explore the impact of these interventions on patient outcomes.https://doi.org/10.1186/s12909-025-07341-1Blended learningBreastfeeding managementNursesKnowledgeAttitudeSkills |
| spellingShingle | Poonam Joshi Ritu Pal Jamuna Rani R Ananya Mukhopadhyay Nihar Rajan Mishra Surya Kant Tiwari A. Malarselvi Improving nurse’s knowledge, attitudes, and skills in lactation and breastfeeding management using a blended learning approach: a quasi-experimental study BMC Medical Education Blended learning Breastfeeding management Nurses Knowledge Attitude Skills |
| title | Improving nurse’s knowledge, attitudes, and skills in lactation and breastfeeding management using a blended learning approach: a quasi-experimental study |
| title_full | Improving nurse’s knowledge, attitudes, and skills in lactation and breastfeeding management using a blended learning approach: a quasi-experimental study |
| title_fullStr | Improving nurse’s knowledge, attitudes, and skills in lactation and breastfeeding management using a blended learning approach: a quasi-experimental study |
| title_full_unstemmed | Improving nurse’s knowledge, attitudes, and skills in lactation and breastfeeding management using a blended learning approach: a quasi-experimental study |
| title_short | Improving nurse’s knowledge, attitudes, and skills in lactation and breastfeeding management using a blended learning approach: a quasi-experimental study |
| title_sort | improving nurse s knowledge attitudes and skills in lactation and breastfeeding management using a blended learning approach a quasi experimental study |
| topic | Blended learning Breastfeeding management Nurses Knowledge Attitude Skills |
| url | https://doi.org/10.1186/s12909-025-07341-1 |
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